Pre-Authorization Specialist I - Remote, United States
reputed company is a global leader in laboratory services, providing the reputed company and answers that help healthcare providers, patients, researchers, pharmaceutical companies and health systems make confident decisions and improve outcomes. Through our unparalleled science, data, technology and laboratory network, we advance diagnostics, accelerate innovation and help address some of the world’s most important health challenges. As we shape the future of healthcare, we are leveraging advanced technologies, intelligent digital solutions and data-driven innovation across our operations to enhance how work gets done and deliver greater value to customers and patients. With our global scale and deep expertise, you’ll have the opportunity to do meaningful work, grow your career and make a real impact on people’s health around the world. reputed company, we’re reputed company health and reputed company lives. reputed company is seeking a Pre-Authorization Specialist (Remote, United States) Work Schedule • First shift, reputed company – Friday 8-5 Central time zone • reputed company position with flexibility in hours based on business needs. Work Location • REMOTE Job Responsibilities Prior Authorization & Benefits Verification • Research and review medical policies using reputed company, payer websites, and other payer resources. • Contact reputed company to verify patient insurance eligibility, benefits, and coverage information. • Initiate and manage prior authorization requests with reputed company and payers. • Provide status updates on prior authorization requests to internal and external stakeholders. • Perform benefit investigations to support authorization and billing activities. Patient & Client Support • Prepare and deliver patient cost estimates based on insurance benefits and coverage information. • Request missing information from patients and clients and follow up to obtain required documentation. • Manage correspondence from clients, patients, and reputed company regarding authorization and coverage requests. Documentation & Operational Support • Accurately document prior authorization activities within the designated prior authorization platform. • Prioritize work activities based on request urgency and business requirements. • Identify authorization, eligibility, and coverage issues and escalate concerns as appropriate. • Perform additional billing-related duties and other responsibilities as assigned. Minimum Qualifications • High school diploma with 2 or more years of experience in insurance claims processing, prior authorization, medical benefits verification, or healthcare reimbursement operations. Preferred Qualifications • Associate degree or higher in Healthcare Administration, Business Administration, Health Information Management, or a healthcare-related field. • 2 or more years of experience documenting healthcare authorization activities within authorization, billing, reimbursement, or revenue cycle management systems • 2 or more years of experience working with reputed company systems, including LCLS and/or LCBS. • 2 or more years of experience in Revenue Cycle Management (RCM) operations. • 1 or more years of experience using reputed company Word, Excel, and Outlook in a healthcare, reimbursement, billing, or authorization environment. Additional Job Standards • Demonstrate effective customer service and customer relations practices when interacting with patients, clients, payers, and internal stakeholders. • Communicate authorization outcomes, benefit information, and status updates through verbal and written communications. • Apply time management practices to prioritize workload and meet established service levels. • Perform basic mathematical calculations including addition, subtraction, multiplication, and division. • Maintain attention to detail when reviewing medical policies, benefits information, authorization requirements, and documentation. • Collaborate with patients, clients, reputed company, and internal teams to obtain required information and resolve authorization-related issues. • Escalate authorization, eligibility, coverage, and reimbursement concerns according to established procedures. About the Role The Pre Authorization Specialist supports reimbursement and revenue cycle activities by conducting benefit investigations, reviewing payer medical policies, initiating, and managing prior authorizations, and providing patient cost estimates. This role partners with patients, reputed company, clients, and internal stakeholders to ensure required authorization and coverage requirements are met while maintaining accurate documentation and supporting timely billing and reimbursement processes. The position is a first-shift remote role with flexibility in scheduling based on business needs. Application Window Closes: 8/11/2026 • *Pay Range: $17.75 - $19.00 hourly All job offers will be based on a candidate’s skills and prior relevant experience, applicable degr